12],[28],[29] Third, lenticulostriate or thalamoperforating arteries are the most common sites of ICH development in the brain due to lack of capillaries, and therefore, susceptible to direct variation in systemic BP.

After openning the acess through the Sylvian fissure, it is necessary to identify, dissect, clip and divide from lateral to the lenticulostriate branches of the basal ganglia of ipsilateral middle cerebral artery (8,20,28,36).

Lacunar infarcts were defined as small subcortical infarcts visible on two or more scan cuts, typically less then 15 mm in axial diameter, tracking a single penetrating vessel (usually a lenticulostriate artery) along its ventro-dorsal path, with maximum extent typically in the PVWM [11].

Patients with tuberculous meningitis develop stroke in up to 6-41% of cases12, usually involving the small, terminal lenticulostriate branches13, explaining the usual and more severe distribution of infarctions in the region of basal ganglia.

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